HomeMy WebLinkAbout026-148-00-1600-LUP-2001-083 Application for Land Use Permit r ,� '—
County of Sawyer �, < �
PO Box 668 - Ha}rward WI 54843
715/634-8288 �
The undersi�ned hereby makes application for a Land Use Permit and agrees that all �vork ,
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT �
BEGIN UtiTIL THE PER�IIT IS ISSUED.
PRI�iT — USE BLACK I�K OR PEI�CIL �'
�
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� Luti��� �_ )� C �`.G�rn�! `
� y.
O�vner Builder � o �
PETE C. KOZ K r
I l�I 3� ��-� ����-e: ��c� � 7C,� Shoreline DeSigns ;
Mailing Address i�lailing Address 10608 Glenwood
� r Hayward, WI 54843
5���� j�-�tke_ � �.�.� ����`7�� �,� ��� ��--1�---
City, State, Zip City, State, Zip
�'1i��� 8U� �����K��
Daytime Phone Daytime Phone
Buildin� Land Use i�
( ) Ne�v ( ) Fillin� Zone District ��—� i �
( ) Addition ( ) Dredgin� �
O Alteration O G adin� Lot Size ^
( ) Moving On � �
( ) ( ) Acres � / �j� � �',
— ,.
Primary Structure Accessory Building Addition � °
( ) Dwellin� ( ) Gara�e-attached,`detached ( ) Deck � � �
O Year round O r of car stalls O Porch 7� � �
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed `� � '�
( ) Frame built on site ( ) Screen}lotise ( ) LivinQ room �.c� � �
( ) Nlodular/manufactured ( ) Greenhouse ( ) Kitcheil � �
( ) �lobile;manufactured ( ) Other ( ) Bedroom ` , �
( ) Other primary structure ( ) ( ) Relocat:'enlar�e �j � �� �
O O Orrofne��' � �, I
t.n I, �-
Type of Constniction j '' �" = O�
( ) Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � � �
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( ) Other v �� ,�
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Construction Cost S ( �� � <' p
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Vol_��Pg�of Deed Certified Soil Test # c�Gl -0 ;q � �p
CSM Vol Pg Sanitary Permit # 9Cl '("� `7a � z �
L� c�
Plat Envelope Or: ~ �
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Condo Vol Pg Year Instal(ed
Aff of ex septic �' P O���iler �VIZen Installed: � �
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Application for Land Use Permit — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration. �
#1. 1:2. k3. #4.
Size ft. ��'ide ft. ��'ide ft. �vide ft. wide
ft. lon� ft. long ft. long ft. long
Floor area sq. ft. sq. ft. sq. ft. sq. ft.
H�. &om grade to peak ft. hgt. ft. hgt. _ ft. hgt.
Stories stories stories storie;
� of bedrooms
rear lot line or ��aterline of ��, �,� �c � � lake/river
-, j �
[n the box sketch in: ;,�rZ,� ��� ��� �.� i h'�� ' a "
Leca`ion ar.d size of a!I
existin� and proposzd stnictures. ,
l, ;p r.,-� F �:.� _
Location of septic system. E_ -- � — "� � � ---y'
___ _ - — --- � �-
Indicate distance to:
�1'aterline'��'eNands
Road
Lot lines -,
Septic systemipri��y � I�a<,k_ ;
��'ell i-__ �
Distance bet���eett structures. !
L_ �_
Indicate \orth.
Fire \umber:
l C. I �j 4�l .
�O I.�S..�"
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, p�;
�cb.�u�_''f1 �`��R nu_�
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Signature of O��'ner � �"'�"�
,,��
The abo��e certifies that the lisred
infomlation and inten[ions are true and � - �—' j
corrzet. The abocz persoir's'hzroby �� r" ���.�_ E �
ei��e pzrmission for access to the
� ��-�
properry for onsicz inspzc[ion. ------ cen[erline of�+. (�, , % /� road------
5
[ssue Date April 26, 2001 ErP�re Date April 26, 2002
Oflicc Comments: L//�/�/�,?-!/ L�C�,!K�/�c�j
Si_�natw'e ofZonin�_ Administratur
State cf Wlsrnnsin APPLICATION/PERMIT FOR RIPRAP PROJECI S
Department af Netural Resources Pursuant to section 30.12(3)(A)3, Wis. Stats. Form 350GA1
5 ' f��� - .'_DOC - �� �%7� L�� �
This form is required under Section 30.12(3), Wis. Stats. Refusal to prwide this information may result m the dismissal o you application.
Personalty identiCable information on this form will be uxd for no other purpose.
Landowner's Name Pmject Location �-.o�' S' X �'2�e r� ���� , i�"1�L� � I f n � ���c��b'�S i�c�� o��.
��r;e� -K- i`/leCc�w,y nee�w0.r+ oFGcv�. l.a�orzC�), S�et�o�,��/�GJ� '�=� 3�iNcr+h :R���e.q
Slrcet or Route
I (c I 39 ��� �S�-�t+� I�c4 , l 0 5����� L«�e, , ��� S �8�7� W es+
i�a i 3� ��� ��2 �d- 7o iia. iia,s���o� � T �"-� �, R �
�, � �E� �i�
City,State, Zip Code ( )City (�Town ( )Village o( SC�i��l L1LY�2-
+cne Lc�ke, L��L 5�3'1{�
Home Telephone No. Work Telephone No. Frc Number Taz Parcel No. County Name o(Watecwey
(715) `� S—Sc ('if5 )(r3�- 1151 f � 13q L�J c�b- �'-oc-ib� S�� z� Sar��1 l-0..�e-�
�I herelry eertify�hat the infortnation eontained he`ein is true and accunte. 1 am the owner o[the riparian pmperty or am the duly authorized`eprexntative and
may sign this applicalion on behalf ot the avner(s) of said pmperty. 1 have rcad and unders�and all of the mndi�ions of Ihie permit listed on ihe revelee aide and
will construct the above mrntioned project in compliance with all such mnditions. f understand that [ailuro to mmply with any or al�o[ihe provisions of the
permit renden Ihe author'vatiom m�tained hercin nuli and wid and may rault in a fine and/or imprisonmmt undcr the provisions o(s.3012(5), Wi+. Siab.or
fodeiture under a. 30.15,Wis.Stata
� Primed or'Iypcd Full Name o(Applicam Signature of Appliant Date signed
� �, �,��� � c� -}h . ��CC« mY (�.";�� n���� �IL�C�c�r,��, � -5 -vo
ATTENTION!! YOU MUST COMPLY WITH THE CONDITIONS ON THE BACK OF THIS PERMTT
FINDINGS OF FACT
1. 'Rie applicnnt hes compiied with all procedural and legai r[quiremenU of Wisconsin Law. -
2. 'ILe proprotd project will not result in a material obsWclion to navigalion,will not adversely allecl water quality,will not inereaae water pollulion in
aurface waters and wili not eause envimnmental pollution as deGned in s. 144.01(3),Wis.Stats.,if�he pmject is oonstructed in aeooMance with thu
pecmit.
3. 'Ihe Department has determined that the granling of thia permit would not be a major state action significantly allecting the quality of the human
envimnment.
4. 'It�e Department and the appiicant have completed all procedural rcquiremen4a and Ihe project a+permitted will compty wilh alI applirvble requiiemenb
of Wisconsin Administralive Code and Wisconsin Statutes.
5. 'Ihe project will not impact wetlands.
CONCLUSIONS OF iAW
1. 'ITe Department haa authoriry under a.30.12(3),Wis.SWu.,and applicable Wixonsin Administrative Coda to iseue a pecmit for this project.
2 'Ihe Departmcnt ha�complied with s. 1.11,Wis.Sta�s.and NR 103,Wu.Adm. Code
NOTICE OF APPEAL RIGHTS ,.
It}rou believe that}rou have a righl to challenge Ihis decision,}rou should know that Wisconsin Admipistrative Codes and Wisconsin Slatutes dtablish time periode
within which requdu to miew Depanmcnt decisions must be fled.
To request a contcted au hearing pursuant to s.227.42, Wis. Stats.,}rou have 30 days a[ter the decision is mailed,or olhefwise served by[he Departmmt, lo
xrve a petition for hearing on lhc Sccretary of the Departmenl o[Nalural Retourcp. '[Lia nolice is providcd punuan� to s.227.48(2),Wis.Stau.
LEAVE BLANK-DEPARTMENT OF NATURAL RESOURCE USE ONLY
STATE OF WI� ONSIN -DE TMENT OF NATURAL RESOURCES
For the Sarc�a
%
Lssued By: � b, � � � Date Signed �� ��
� � ,
'� ` ��
ru�- �^�GLk'1 . ��ri%f�'.il,rt'�'�� r %i'� r� , � '�
i ,T ���`
' PERMTT CONDI'fIONS: RIPRAP PERMI'f
PAGE 2
LEAVE BLANK - FOR DEPAFiTMENT OF NATURAL RESOURCE USE ONLY
1. Your acceptlna this permft and bepinninp to construct the pro�ect mea�s that vou have read, understand
and aaree to foliow all conditlona of this permR.
2. A photograph of the completed proJect shall be submitted to the Department withln 10 days of proJect completion.
3. You are hereby authorized ro place clean fleldstone or quarry stone 6 ro 24 Inches in diameter along -/�� Ilneal
feet of the shoreline. The stone may extend up to Z. � feet waterward as measured f m the exlstlng bank. The
slone shall foliow ihe naWral contour of the shoreline and shall not be placed higher than / '` inches above the
ordinary hiqh watermark. The flnal rlprap slope shali not euceed 2 faet horizorrtal to 1 foot vertical.
4. All grading and excavatlon must be coMined to the minimum area necessary for co�slruction and shall not exceed the
maximum area allowed by the local shoreland zoning ordinance or 10,000 square feet, whichever is �ess.
5. The use of flfter clolh, or a fitter layer, under the dprap Is recommended to extend the I'rfe of the structure and to Imprwe
effectiveness.
6. The project shall be constructed in a manner thaz prevents upland soil losses and sedimentation of the waterway. Tempcxary
erosion control measures such as mulch, sift fence, and/or straw 6ales shall be used as needed and shall be pul In place
prior to any preclpRation or N work ceases for longer than 24 consecutive hours. Any upland areas disturbed during
conffirudlon shall be propery stabilized Immediately following project completion by seeding and mulching.
7. The removal of trees, shrubs, and other shoreline vegetation shall be kept to a minimum and any vegetation removal above
the ordinary high watermark of the waterway must compty with the shore cover removal requirements of the local courny
zoning ordinance.
8. No waterward eutension of the upland property is permitted other than what is reasonabty necessary for the placemeM of
riprap to stabilize and protect the existing bank. No fill material may be placed in a wetland or below the ordinary high
watermark of eny surface water.
9. This permR Is not valid unless you have obtalned all required approvals from other LOCAL, STATE and FEDERAL
Jurlsdictions.
10. This permlt expires on November 1 of the calendar vear followlna the date of issuance. No construdion
may take place after that date unless you obtain a written eMension of this permit from the Department before the date the
perm8 expires.
1 t. You must keep a cooy of this permit at the project site at all times until the projsr,t is complmed.
12. You must allow Department employees access to the project sRe to make inspedions at any time to determine whether the
work is In compliance wHh this permil and any other legal requlrements.
13. If necessary, the Department may:
a Amand thls permtt by changing or adtling co�ditlons to ensure that the project is fn compliance wRh all appiicable
Iegai requirements.
b. Revoke ihis permit to protect the public Interest or prevenl material impairment of navigation.
14. You must maintain the rlprap In good contlRlon.
C C���t�sl�o��✓+-e -�y,,,-.�✓��,.1- ✓✓�i��u+ ��,w�' a�z'f.�tu;�.c.z�r�
15. Other condftlons: c�f'=`'h"'`,�-�' f„� `y hz"�i ,��3v`���v+-�-z�iv �� 7�1,��'��k'
! r� ,7
�� �:LLr l.`c-. /�'�!.✓,.�c'G'lu tC� �2rl�w�3l2f�L�'�1,2/L i�r.��j��/14G�.+� .Gt_`:>Z�G`c`e
� J" _
�C�y,,e� �,� c��Se�- SiJw � �.� PETE C. KOZAK
CoplN of tAb � -.���.� Shoreline Designs
permH sent to: Con�erv�tlon Werdon�"�rC��''.�'�`�� G'ftale�y�r(��
Counry Zonlnp Adminbiretor �g 10608 Glenwood
U.S.Army Corp�of Enqlneers� ��u�'��O ``�`�" '5����1 Hayward, W I 54843
��!-��""Y`'�"ti�` G""r"�`G� 715-634-2219
/7i<-�/��' _ ',/�b3
_--� _�
273118 STA7E BAR OF WISCONSIN FORM 1 — 1982 '
WARRANTY DEED
DOCUMENT NO. '
'� ikputer's Ottiw 1 .
This Deed, madebctween KOBERT P. KERSTEN and ROBERTA G. , y�wy���ry t u
KERSTEN, his wife ved for ncord �O�y a
A D 19�x �o�ciou
, Gran[or, � M a�d retord� vd A
and EUNICE K. McCAMY. an adult sinele woman or a1.Daye lG
G irJ
Reqnter
, Gromee,
Wi[ne55e[17, Thu ihe said Grantor,[ora v�l�able convderarion Depuly
of one dollar and other valuable consideration
conveys to Gramee the[ollowing descrilxd real euam in SaN�'BT ' TMIS SFACE RESERVED fCH RECOfiDING DATA
Counry,Suie ot W�sconsin: ,� NAAIE AND REiURN AppRE55
i
Tha[ part of Government Lot One (1) , Section �Y1 �
Seventeen (17) , Township Thirty-nine (39) Nor[h, � �
Range Nine (9) West, described as follows: �'�
Beginning a[ the iron pipe at the extreme Northeas[
end of the alley back of che lots in the M.C. '
Boylan Subdivision; thence run a northerly 026-148-00 1600
direction to the South boundary of S.T.H. "70"; 0?F-Q'�q-17 51 �7
thence turning angle to the lef[ and proceed along P�pCELIDENiIFICATIONNUMBER
[he South boundarp of S.T.H. "70" a distance of 100 feet; thence turn an angle to
the left and run in a southerly direction to the North line of the alley in said
subdivision; [hence turn an angle to the left and proceed along [he North line of
the alley to the point of beginning. Also Lot Sixteen (16), M.C. Boylan Subdivision.
Legal descziption provided by title insurance prepared by Hayward Land Ticle.
Grantee is named in accordance with direction provided by Re/Max of Hayward.
This i c homestcad pmperty. T�NSFER
(is) lu na) � �,/,��
Toge�hcr with all and singular the hereditaments and appunenantts thereunto betonging; FEE
And yrantora_
w�rrams ihu ihe title is good, inde(euible in (ec simpk and frcc and clnr o[encumbnnces except
all easements, exceptions and reservations of record.
and will warrant and defend[he same.
-CIv / p
Datedthis � dayof. -.d�.l�ilT�/+� ,191_�.
�5��> ✓��P ���-��- � �s��>
. . � � -
(SEAL) ���LM /1 �n
'r 2SF�t1)
• ROBF.RTA G. KERSTEN ��n+
�'i�,
AUIHENTICATION ACKNOWLEDGMENT
Signamre(s) State of Wisconsin,
s:
RoCk Coumy
awheniicaied ihis day o( , 19_ Personally came before me ihis �Ch day of
Decembei , 19 98, ihc alwve mmed
Robert P. and Roberta �, Kersten
TITLE: MEMBER STATE 6AR OF WISCONSIN
(If not,
amhorized by§706.06,Wis.5[ais.) io mc/k�,,own to bc the rson S who eucmed the forcgoing
instr7rf�tent and a N I ge sa e.
THIS INSTFUMENT WAS DRAFTEO BV / / '
v � " fr C �
At[orney Thomas J. Duffy by: Cyn[hia Vondrasek
Suzanne M. Bartz �
Notary Public, Rock Counry,Wis.
(Signamres may be authencicaced or acknowledged. Bofi are noi My mmmission is permanem. (I( not, state expirau�m da�e:
-`� necessary.) VOL 6 5 '� PG �163 3-12 7Ff�:2��� �
�
� 'N�mn d persons signm3 m any upuny should by iyped a pnnud below ihar s�gnamrrs
� STATE BAR OF WISCONSIN wiscoruin Leqai 84rx Co..vK
1VARRAN[Y UkFU Farm Nu. 1 - I9B3 Mitwaukan,Wig
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